宫腔内人工授精(IUI)丨医学英语视听学习

学术   2025-01-15 21:07   河南  

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Intrauterine Insemination (IUI)

宫腔内人工授精(IUI) 

Intrauterine insemination, also known as artificial insemination, is a procedure done to help a woman get pregnant. 

宫腔内人工授精,又称人工授精,是辅助女性受孕的一种生殖技术。


A woman's reproductive system includes the vagina, cervix, uterus, fallopian tubes, and ovaries

女性生殖系统包括阴道宫颈子宫输卵管卵巢


During the monthly menstrual cycle, one of her ovaries releases an egg in a process called ovulation. After ovulation, the egg enters the fallopian tube. 

每个月月经期,女性的卵巢释放一个卵子,该过程称为排卵。排卵后,卵子进入输卵管。


A woman is most likely to become pregnant if she has sex in the days just before, during, or right after ovulation. During this time, a sperm cell from a man's reproductive fluid, called semen, is able to fertilize her egg as it moves through the fallopian tube. 

女性在排卵期或排卵前、后几天发生性行为,最可能怀孕。在此期间,男性生殖液中的精细胞,即精液能够通过输卵管,使卵子受精。


Intrauterine insemination may be performed if a woman is having trouble getting pregnant, a condition known as infertility, or it may be done if a woman wants to have a child without a male partner.

宫腔内人工授精适用于难以受孕,即不育女性,或者无男性伴侣,却想要孕育孩子的女性。


Before intrauterine insemination, a woman may receive fertility medication that causes her to release more than one egg during ovulation. In a process called sperm washing, a man's sperm will be separated from the fluid in his semen. This concentrates the sperm, removes debris, and removes hormones that may cause the uterus to cramp. 

行宫腔内人工授精前,女性可能需服用促排卵药物。精子洗涤过程中,将男性的精子与精液分离;浓缩精子,清除碎片以及可能导致子宫痉挛的激素。


If the male partner is completely infertile, also known as sterile, or if the woman does not have a male partner, previously washed and frozen donor sperm will be used for the procedure. The doctor will monitor the ovaries for ovulation. 

如果男性伴侣完全不育,即不能生育,或者女性没有男性伴侣,那么将使用既往洗涤和冷冻的捐精者的精子完成宫腔内人工授精。医生将监测女性的卵巢排卵情况。


Intrauterine insemination must be performed right before or right after a woman ovulates so that an egg is available for fertilization.

女性排卵前、后必须立即进行宫腔内人工授精,以便卵子可用于受精。


During the procedure, the woman will lie on an examination table. A tool called a speculum will be inserted into her vagina so that the doctor can see her cervix. A syringe will be loaded with a small amount of fluid containing the washed sperm. 

手术期间,女性躺在检查台上。医生将扩张器插入女性的阴道,以便观察子宫颈;将注射器内装载少量含有洗涤后精子的精液。


Then, the syringe will be attached to a long thin tube called a catheter. The doctor will insert the catheter into the vagina. The tip of the catheter will be guided through the opening in the cervix and into the uterus. 

然后,将注射器连接到细长导管上,将导管插入女性的阴道,引导导管尖端穿过宫颈口进入子宫。


Once the catheter is inside the uterus, the doctor will inject the sperm. Then, the catheter and speculum will be removed. The woman may continue to lie on her back for about 10 minutes. 

导管进入子宫内后,医生将立即注射精子。然后,移除导管和扩张器。女性可能需要继续仰卧约10分钟。




相关单词学习

  • Insemination

①发音和释义

in•sem•i•na•tion/ɪnˌsemɪˈneɪʃn/n. 授精
The deposit of seminal fluid within the vagina or cervix.

单词 insemination 由下列成分构成

in-(前缀)使置于某状况
+
semen 精液
+
-ation(后缀)表示一种状态或过程
(图源:太帅图库)
  • Ovulation

ov•u•la•tion/ˌɑːvjuˈleɪʃn/n. 排卵
Release of an ovum from the ovarian follicle.

单词 ovulation 由下列成分构成

ovule 胚珠,卵子
+
-ation(后缀)表示一种状态或过程
(图源:太帅图库)

宫腔内人工授精(IUI)相关知识拓展

施行IUI最常见的原因是精子数量低或精子活力下降
但是,以下情况也适用于IUI
  • 不明原因不育
  • 宫颈性不孕
  • 性功能障碍
  • 排卵障碍
  • 子宫内膜异位相关不孕症
  • 轻度弱精症
  • 精液过敏

手术风险因素
  • 感染(手术有轻微的感染风险。)
  • 点状出血(有时将导管置入子宫过程中会导致少量阴道出血。)
  • 多胎妊娠

术前准备
  • 准备精液样本
  • 监测排卵情况
  • 确定最佳时机

手术期间
  • 将装有健康精子样本的小瓶连接在一根细的软管(导管)末端
  • 将导管插入阴道、宫颈口和子宫
  • 将精子样本通过导管注入子宫
  • 取出导管和扩张器

手术后
  • 术后,患者需仰卧一段时间。
  • 手术后1~2天,患者阴道可能轻微出血。

结果评估

两周后做妊娠测试,过早测试可能产生以下结果:

  • 假阴性(若孕激素尚未达到可测量的水平,即使真的怀孕,测试结果可能呈阴性)

  • 假阳性(若患者正在服用促排卵药物,如HCG,即使患者未真正怀孕,结果可能呈阳性)

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